Individual
JACIE VANDERMEULEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
340 W FAIR AVE, LANCASTER, OH 43130-1863
(740) 689-0199
(740) 689-0189
Mailing address
340 W FAIR AVE, LANCASTER, OH 43130-1863
(740) 689-0199
(740) 689-0189
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-04972
OH
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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